Nurse Practitioner Review Question of the DayANCC / AANP Exam Review Question of the Day, Courtesy of Med-Challenger
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A 30-year-old man presents with progressive dyspnea on exertion over the last few months. His medical history is notable for hypertension, for which he takes hydrochlorothiazide 25 mg daily.
On examination, he has a 3/6 systolic murmur in the left upper sternal area that does not radiate to the carotids. The murmur is increased with Valsalva maneuvering and is decreased with squatting. He has no jugular venous distension or peripheral edema.
What is the likely diagnosis?
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